Difference of Somatic Symptoms between Anxiety Disorder and Major Depressive Disorder and Their Domainal Association with Suicidal Idealization, Plan and Attempts.
- Author:
Jun Seok AHN
1
;
Eun young KIM
;
Maeng Je CHO
;
Jin Pyo HONG
;
Bong Jin HAHM
;
In Won CHUNG
;
Joon Ho AHN
;
Hong Jin JEON
;
Su Jeong SEONG
;
Dong Woo LEE
Author Information
1. Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. dwlee@paik.ac.kr
- Publication Type:Original Article
- Keywords:
Somatic symptoms;
Depression;
Anxiety disorder;
Psychiatric comorbidity;
Suicide
- MeSH:
Adult;
Anxiety Disorders*;
Anxiety*;
Chest Pain;
Depression;
Depressive Disorder, Major*;
Diagnosis;
Headache;
Humans;
Prevalence;
Referral and Consultation;
Suicide;
Syncope
- From:Korean Journal of Psychosomatic Medicine
2016;24(2):174-183
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: The aim of this study is to evaluate difference of somatic symptoms of anxiety disorder and major depressive disorder and domainal association with suicidal idealization, plan, and attempts. METHODS: A total of 359 adults diagnosed with major depressive disorder and anxiety disorder of last one year participated. Participants interviewed with certain sections of Korean version of Composite International Diagnostic interview of CIDI. Sections of interests includes questionnaires regarding somatic symptoms and suicidal idea, plan and attempts of last one year. RESULTS: Chest pain shows more prevalence in major depressive disorder. Symptoms of Headache and loose stool are more prevalent in anxiety disorder. Difficulty in equilibrium and fainting spells are more common somatic complaints of co-diagnosis states of anxiety disorder and major depressive disorder. Comparing 3 domains of pain symptoms, gastrointestinal symptoms and pseudo-neurological symptoms, pain symptom domains, gastrointestinal symptoms domain shows significant statistic difference between diagnosis. Average somatic symptom numbers of each symptom domains increase through suicidal idealization, plan and attempt, accordingly. CONCLUSIONS: Our finding shows some of somatic symptoms are more prevalent at certain diagnosis. Since increasing numbers of somatic complaints of each symptom domains goes with the suicidal idealization to suicidal attempts, proper psychiatric evaluation and consultations are crucial for patients with numerous somatic complaints in non-psychiatric clinical settings.
